DR. JOHN R EVALDSON


Address: 1012 Marquez Place #401, Santa Fe, NM 87505
Phone: 5059831887

DR. JOHN R EVALDSON (NPI# 1568585305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568585305
Entity Type Individual
Full Name DR. JOHN R EVALDSON
Credential M.D.
Practice Address 1012 Marquez Place #401
Santa Fe
NM 87505
Practice Telephone 5059831887
Practice Fax Number 5059830437
Mailing Telephone 5059831887
Mailing Fax Number 5059830437
Enumeration Date 2007-04-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
86-041 NM Allopathic & Osteopathic Physicians

Office Location

Street Address 1012 MARQUEZ PLACE #401
City SANTA FE
State NM
Zip Code 87505

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NPI Name Taxonomy Address Enumeration
1154939031 Enchanted Sky Hospice,llc Hospice Care, Community Based 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 2020-07-16
1700409968 Caa Consulting, LLC Clinic/Center 1448 S St. Francis Drive, Santa Fe, NM 87505 2020-05-22
1104447093 Dana Marie Tsyconyea Simmons Counselor 1640 Calle Medico, Suite E, Santa Fe, NM 87505 2020-05-01
1114574217 Kumara Hampton Therapy, LLC Counselor 11 Calle Medico Suite 4, Santa Fe, NM 87505 2019-08-22
1245886977 Caroline Ward Technician 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 2019-08-19
1205490752 Alyson Yacono Physical Therapist 104 Old Las Vegas Highway, Santa Fe, NM 87505 2019-04-30
1366919649 Allyson Matthews Speech-Language Pathologist Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 2018-10-25
1093280281 Diamond Care Santa Fe LLC Skilled Nursing Facility 635 Harkle Road, Santa Fe, NM 87505 2018-10-04
1972087054 Changing Woman Initiative Advanced Practice Midwife 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 2018-09-24
1154812782 Heart Wing, LLC Social Worker 2724 Alamosa Drive, Santa Fe, NM 87505 2018-05-18
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700971207 Catalina Perez-lacey Psychiatry & Neurology 7 Casa Del Oro Way, Santa Fe, NM 87508-8290 2006-10-03
1467471953 William F Johnson Psychiatry & Neurology 2204 Brothers Rd Ste B, Santa Fe, NM 87505-6975 2006-07-18
1770528085 Walter Farr Psychiatry & Neurology 2940 Plaza Blanca, Santa Fe, NM 87507-5340 2006-06-19
1295945897 Sudha Rani Kailas Psychiatry & Neurology 2504 Camino Entrada, Santa Fe, NM 87507-4851 2007-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891318747 B2 Healthcare Group LLC Psychiatry & Neurology 8206 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-1738 2020-05-27
1649663535 Gabriela Sanchez Psychiatry & Neurology Presbyterian Kaseman Hospital, 8300 Constitution Avenue Ne, Albuquerque, NM 87110 2015-03-17
1033401831 Gabriel Carlos-william Monthan Psychiatry & Neurology 241 Laguayra Dr Ne, Albuquerque, NM 87108-1723 2011-05-11
1972746642 Brian James Haigh Psychiatry & Neurology 195 East Rd Ste 104, Los Alamos, NM 87544-4301 2009-04-10
1851582886 Michael Herman Anikeev Psychiatry & Neurology 3901 Indian School Rd Ne Apt D102, Albuquerque, NM 87110-3852 2007-08-06
1669529210 Susan Danto Psychiatry & Neurology 7801 Academy Ne, Bldg. 1, Suite 202, Albuquerque, NM 87109 2007-01-05
1033271390 Rosemary Hunter Psychiatry & Neurology 5310 Sequoia Rd Nw, Albuquerque, NM 87120-1249 2006-12-14
1013005925 George Edwin Davis Psychiatry & Neurology 1002 Idlewilde Ln Se, Albuquerque, NM 87108-3446 2006-10-10
1740381268 Daniel Kerlinsky Psychiatry & Neurology 7007 Wyoming Ne Suite E-3, Albuquerque, NM 87109 2006-09-26
1184659427 Charles Edward Hauser Psychiatry & Neurology 184 Unser Boulevard, Ne, Rio Rancho, NM 87124 2006-07-12
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Competitor

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City SANTA FE
Zip Code 87505

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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